绝经后骨质疏松和骨质减少女性的后凸变化并不影响其跌倒风险。
Change in kyphosis does not affect the risk of falling in postmenopausal osteopenic and osteoporotic women.
机构信息
Hellenic Osteoporosis Foundation, Athens, Greece.
2nd Orthopedic Department, Konstantopoulion Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece.
出版信息
J Musculoskelet Neuronal Interact. 2021 Mar 1;21(1):157-161.
OBJECTIVES
To examine the influence of the annual change in kyphosis on the risk of falling in postmenopausal osteopenic and osteoporotic women.
METHODS
This prospective observational study included 498 postmenopausal Greek women over the age of 50, suffering from either osteoporosis or osteopenia. Data on age, height, weight, and self-reported falls were collected. Additionally, we evaluated the degree of the kyphosis angle, the balance, the mobility, the functionality and the handgrip strength on both hands of each subject using the Debrunner kyphometer, the Berg Balance Scale, the Timed-Up-and-Go test, the 30 Seconds Sit-to-Stand test and the Jamar Hydraulic Hand Dynamometer, respectively. All the above data were recorded at the baseline visit and the 12-month follow-up visit for each participant.
RESULTS
All examined variables presented a statistically significant change at the 12-month follow-up visit. Nevertheless, the annual change in kyphosis did not show any association with the risk of falling.
CONCLUSION
No association was shown between the annual change in kyphosis and the risk of falling in postmenopausal osteopenic and osteoporotic women, nor bears any substantial prognostic value for future falls.
目的
研究后绝经骨质疏松和骨量减少女性脊柱后凸年度变化与跌倒风险的关系。
方法
本前瞻性观察研究纳入了 498 名年龄在 50 岁以上的患有骨质疏松或骨量减少的希腊绝经后女性。收集了年龄、身高、体重和自我报告的跌倒数据。此外，我们使用 Debrunner 脊柱测角计、伯格平衡量表、计时起立行走测试、30 秒坐站测试和 Jamar 液压手测力计分别评估了每位受试者的脊柱后凸角度、平衡、移动能力、功能和双手握力。所有上述数据均在每位参与者的基线访视和 12 个月随访时记录。
结果
所有检查变量在 12 个月随访时均有统计学意义的变化。然而，脊柱后凸的年度变化与跌倒风险之间没有关联。
结论
在绝经后骨质疏松和骨量减少女性中，脊柱后凸年度变化与跌倒风险之间没有关联，也没有对未来跌倒有任何实质性的预后价值。
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